Van Dam

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN2272697 Issued in MA

Practice address

1370 Dorchester Ave Ste 21a
Dorchester, MA 02122-2949

Phone

(617) 763-1819

NPI assigned

Mar 23, 2021

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1902482466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GLENROSE AVE",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021841306",
            "telephone_number": "617-763-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 DORCHESTER AVE STE 21A",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021222949",
            "telephone_number": "617-763-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAM",
        "first_name": "VAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2272697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa J Dagher, LICSW
• Andrise Dalmace
• Rodney Dalzon
• Quynh Dam, SLP
• Uy Dinh Dam, FNP
• Andrea Dandridge, FNP. MPH
• Leah Walsh Danforth, RN
• Tam Thanh Thi Dang, RDH
• Trish Ha Dang, DMD
• Robert Joseph Daniels-Mulholland, MD

• Registered Nurse in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.